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25 | On 03/06/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Eloisa Flores and explained the purpose of the visit. Administrator has a current certificate (#6051910740) with an expiration date of 05/13/2025.
LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to four (4) resident private bedrooms, two (2) bathrooms, kitchen, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. Hot water temperature was measured at 114 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 72 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in kitchen, which was last inspected on 05/15/2023.LPA reviewed drill logs, which are conducted monthly. LPA observed required Licensing posters posted throughout the facility.
LPA conducted a file review of three (3) personnel and four (4) residents records. All records have the required documents. LPA conducted one (1) resident interview and one (1) staff interview.
Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR).
No deficiencies are being cited during today's inspection.
Exit interview conducted and copy of the report was left at the facility. |